Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.75 / $769.85 / $8,229.00	Facility		$602.75	$769.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.21 / $619.98 / $769.85	Professional		$569.21	$619.98	$769.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.61 / $632.08 / $975.50	Professional		$521.61	$632.08	$975.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.82 / $809.56 / $933.89	Facility		$589.82	$809.56	$933.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $634.19 / $809.56 / $1,156.52	Professional		$634.19	$809.56	$1,156.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.65 / $711.65 / $711.65	Facility		$711.65	$711.65	$711.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $829.39 / $1,230.86	Professional		$607.53	$829.39	$1,230.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $636.09	Professional		$32.34	$32.34	$636.09
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.30 / $800.45 / $1,180.56	Professional		$560.30	$800.45	$1,180.56